January 1, 2004Psychotherapy and Psychosomatics
Prospective Examination of Anxiety Persistence and Its Relationship to Cardiac Symptoms and Recurrent Cardiac Events
Why the study?
Does persistent anxiety predict self-reported recurrent cardiac events in patients with unstable angina and myocardial infarction?
Population
913 patients with unstable angina (UA) and myocardial infarction (MI) from 12 coronary care units
Comparison
Persistent anxiety vs Absence of persistent anxiety
Design
Cohort
Follow-up
12 months
Authors
Discussion
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Member takes
Implication
May support anxiety screening post-MI; leaves open whether treatment reduces recurrent events.
Structured PICO
Does persistent anxiety predict self-reported recurrent cardiac events in patients with unstable angina and myocardial infarction?
P
Population
913 patients with unstable angina (UA) and myocardial infarction (MI) from 12 coronary care units
I
Intervention
Persistent anxiety (elevated anxiety at the time of the ischemic event and persisting for 1 year)
C
Comparator
Absence of persistent anxiety
O
Outcome
Self-reported recurrent cardiac events at 6 months or 1 yearpatient reported
Persistent nonphobic anxiety following an ischemic coronary event is an independent predictor of self-reported recurrent cardiac events, highlighting the need for better recognition and treatment of anxiety in secondary prevention.
Cite This Study
Grace et al. (2004) studied this question.